Composite
43.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 73.0 | 68.8 | 0.30 | 0.2308 | 16.85 | in index |
| billing conduct | 55.3 | 41.6 | 0.30 | 0.2308 | 12.76 | in index |
| staffing risk | 48.7 | 48.7 | 0.25 | 0.1923 | 9.37 | in index |
| financial risk | 17.9 | 25.6 | 0.30 | 0.2308 | 4.13 | in index |
| chow risk | 24.6 | 23.7 | 0.15 | 0.1154 | 2.84 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 41.6 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 22.5 | A | v0.6 | default · in composite | |
| financial risk | 25.6 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 4.7 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 68.8 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 48.7 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 49.1 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 29.1 | B | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 35.7 | B | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 31.6 | B | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 68.7 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 68.7 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 48.7 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 48.7 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.83 | -0.39 | |
| Chain size (log) | 3.66 | +0.38 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 13.00 | +0.14 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 13.00 | -0.98 | |
| Chain size (log) | 3.66 | -0.93 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.83 | -0.35 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Facility size (log beds) | 5.21 | -0.18 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | NV median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.30 | 3.62 | 3.28 | 2.90–3.77 |
| RN | 0.35 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 3.20 | 3.46 | 3.11 | — |
| Weekday total | 3.34 | 3.68 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 151.5 | 3.30 | 0.35 | 0.80 | 2.15 | 3.20 | 0.6% |
| 2025Q3 | 92 | 154.7 | 3.08 | 0.13 | 0.87 | 2.07 | 3.06 | 5.0% |
| 2025Q2 | 91 | 158.3 | 2.99 | 0.14 | 0.82 | 2.02 | 2.95 | 4.3% |
| 2025Q1 | 90 | 155.6 | 3.07 | 0.20 | 0.78 | 2.10 | 3.06 | 1.6% |
| 2024Q4 | 92 | 150.8 | 3.16 | 0.22 | 0.76 | 2.17 | 3.12 | 2.6% |
| 2024Q3 | 92 | 160.8 | 3.02 | 0.17 | 0.76 | 2.10 | 3.00 | 6.7% |
| 2024Q2 | 91 | 156.5 | 2.84 | 0.21 | 0.65 | 1.99 | 2.77 | 2.1% |
| 2024Q1 | 91 | 157.9 | 2.97 | 0.13 | 0.83 | 2.00 | 2.96 | 3.0% |
| 2023Q4 | 92 | 153.5 | 2.97 | 0.11 | 0.88 | 1.98 | 2.98 | 3.0% |
| 2023Q3 | 92 | 154.2 | 3.06 | 0.14 | 0.85 | 2.07 | 3.07 | 2.6% |
| 2023Q2 | 91 | 155.0 | 3.04 | 0.14 | 0.85 | 2.05 | 2.98 | 4.7% |
| 2023Q1 | 90 | 153.4 | 2.90 | 0.14 | 0.87 | 1.90 | 2.86 | 4.1% |
| 2022Q4 | 92 | 150.5 | 2.89 | 0.13 | 0.87 | 1.90 | 2.89 | 9.4% |
| 2022Q3 | 92 | 144.9 | 3.01 | 0.12 | 0.89 | 2.01 | 2.93 | 14.6% |
| 2022Q2 | 91 | 146.0 | 2.86 | 0.11 | 0.85 | 1.90 | 2.90 | 13.1% |
| 2022Q1 | 90 | 141.3 | 2.89 | 0.09 | 0.90 | 1.90 | 2.87 | 9.7% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-09-01 | Fine | $9,311 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-07 | Health · complaint | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | 2025-12-18 |
| 2025-08-29 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2025-09-29 |
| 2025-08-29 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-04-17 |
| 2025-08-29 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-09-29 |
| 2025-08-29 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-09-29 |
| 2025-08-29 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-09-29 |
| 2025-08-29 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-09-29 |
| 2025-08-29 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2025-09-29 |
| 2025-08-29 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2025-09-29 |
| 2025-08-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-09-29 |
| 2025-08-29 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | 2025-09-29 |
| 2025-08-29 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | 2025-09-29 |
| 2025-08-29 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-09-29 |
| 2025-01-30 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-02-21 |
| 2025-01-30 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-02-21 |
| 2024-09-11 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-09-30 |
| 2024-09-11 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-09-30 |
| 2024-09-11 | Health | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2024-09-30 |
| 2024-09-11 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-09-30 |
| 2024-09-11 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-09-30 |
| 2024-09-11 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-09-30 |
| 2024-09-11 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2024-09-30 |
| 2024-03-29 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-04-10 |
| 2024-03-29 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-04-16 |
| 2023-09-01 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2023-08-30 |
| 2023-09-01 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-09-28 |
| 2023-09-01 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-09-28 |
| 2023-09-01 | Health | F0687 | Provide appropriate foot care. | D | 2023-09-28 |
| 2023-09-01 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2023-09-28 |
| 2023-09-01 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2023-09-28 |
| 2023-09-01 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2023-09-28 |
| 2023-09-01 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2023-09-28 |
| 2023-09-01 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-09-28 |
| 2023-09-01 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-09-28 |
| 2023-09-01 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-09-28 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| THI OF NEVADA II INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2003-08-30 | current | pecos_ownership |
| MONTES, MISTIE | W-2 MANAGING EMPLOYEE | — | 2021-05-21 | current | pecos_ownership |
| HUNT VALLEY HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2006-03-28 | ended 2026-05-18 | pecos_ownership |
| MURRAY FORMAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2006-03-28 | ended 2026-05-18 | pecos_ownership |
| THI OF BALTIMORE, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2003-08-30 | ended 2026-05-18 | pecos_ownership |
| MISTIE MONTES | W-2 MANAGING EMPLOYEE | — | 2021-05-21 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-17 | OASIS NURSING & REHAB OF GREEN VALLEY | — | — | — | 242 | HENDERSON DELMAR NV OPCO LLC |
| 2024-08-01 | NORTHERN NEVADA STATE VETERANS HOME | — | — | — | 96 | DIMENSIONS MANAGEMENT OF NORTHERN NEVADA LLC |
| 2024-04-18 | HIGHLAND MANOR OF ELKO REHABILITATION LLC | — | — | — | 146 | HIGHLAND MANOR OF ELKO REHABILITATION LLC |
| 2024-04-18 | HIGHLAND MANOR OF FALLON REHABILITATION LLC | — | — | — | 102 | HIGHLAND MANOR OF FALLON REHABILITATION LLC |
| 2024-04-18 | HIGHLAND MANOR OF MESQUITE REHABILITATION LLC | — | — | — | 112 | HIGHLAND MANOR OF MESQUITE REHABILITATION LLC |
| 2024-01-01 | HEARTHSTONE | — | — | — | 125 | TRUCKEE MEADOWS HEALTHCARE, INC. |
| 2023-09-07 | TLC CARE CENTER | — | — | — | 255 | TLC SNF OPERATIONS LLC |
| 2023-08-31 | PAHRUMP HEALTH AND REHABILITATION CENTER | — | — | — | 120 | PAHRUMP SNF OPERATIONS, LLC |
| 2023-08-31 | MOUNTAIN VIEW HEALTH AND REHABILITATION | — | — | — | 146 | MV SNF OPERATIONS LLC |
| 2023-08-31 | GARDNERVILLE HEALTH & REHABILITATION CENTER | — | — | — | 60 | GARDNERVILLE SNF OPERATIONS LLC |
| 2023-08-31 | ORMSBY POST ACUTE REHABILITATION | — | — | — | 120 | ORMSBY SNF OPERATIONS LLC |
| 2023-06-01 | MOUNTAIN VIEW CARE CENTER | — | — | — | 87 | BOULDER CITY NV OPCO LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 32003 | acs median gross | 0 | $1,218 | 2024-12-31 | CENSUS_ACS5 |
| county 32003 | fmr | 0 | $1,333 | 2025-10-01 | HUD_USER_FMR |
| county 32003 | acs median gross | 1 | $1,308 | 2024-12-31 | CENSUS_ACS5 |
| county 32003 | fmr | 1 | $1,478 | 2025-10-01 | HUD_USER_FMR |
| county 32003 | acs median gross | 2 | $1,553 | 2024-12-31 | CENSUS_ACS5 |
| county 32003 | fmr | 2 | $1,735 | 2025-10-01 | HUD_USER_FMR |
| county 32003 | acs median gross | 3 | $1,908 | 2024-12-31 | CENSUS_ACS5 |
| county 32003 | fmr | 3 | $2,413 | 2025-10-01 | HUD_USER_FMR |
| county 32003 | acs median gross | 4 | $2,227 | 2024-12-31 | CENSUS_ACS5 |
| county 32003 | fmr | 4 | $2,764 | 2025-10-01 | HUD_USER_FMR |
| county 32003 | acs median gross | 5 | $2,581 | 2024-12-31 | CENSUS_ACS5 |
| county 32003 | acs median gross | $1,626 | 2024-12-31 | CENSUS_ACS5 | |
| county 32003 | acs recent mover gross | $1,755 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 89030 | acs median gross | 0 | $783 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89030 | acs median gross | 1 | $911 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89030 | acs median gross | 2 | $1,124 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89030 | acs median gross | 3 | $1,453 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89030 | acs median gross | 4 | $1,672 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89030 | acs median gross | 5 | $2,256 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89030 | acs median gross | $1,189 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 89030 | acs recent mover gross | $1,428 | 2024-12-31 | CENSUS_ACS5 | |
| zip 89030 | payment standard 110 | 0 | $1,309 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89030 | payment standard 90 | 0 | $1,071 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89030 | safmr | 0 | $1,190 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89030 | payment standard 110 | 1 | $1,463 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89030 | payment standard 90 | 1 | $1,197 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89030 | safmr | 1 | $1,330 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89030 | payment standard 110 | 2 | $1,738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89030 | payment standard 90 | 2 | $1,422 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89030 | safmr | 2 | $1,580 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89030 | payment standard 110 | 3 | $2,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89030 | payment standard 90 | 3 | $1,989 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89030 | safmr | 3 | $2,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89030 | payment standard 110 | 4 | $2,816 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89030 | payment standard 90 | 4 | $2,304 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89030 | safmr | 4 | $2,560 | 2025-10-01 | HUD_USER_SAFMR |